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Organization
SUSQUEHANNA VALLEY NURSING AND REHABILITATION CENTER LLC
Active
Organization
SUSQUEHANNA VALLEY NURSING AND REHABILITATION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN L. DIFFENDERFER NHA (NURSING HOME ADMINISTRATOR)
(717) 684-7555
Entity
Organization
Contact information
Practice address
745 CHIQUES HILL ROAD, COLUMBIA, PA 17512-8411
(717) 684-7555
(717) 684-3677
Mailing address
745 CHIQUES HILL RD, COLUMBIA, PA 17512-8411
(717) 684-7555
(717) 684-3677
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
084802
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011465300001
—
PA
05
—
11011465300001
—
PA
Enumeration date
03/23/2006
Last updated
08/28/2012
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